Rochester Institute of Technology

Student Health Plan - Address Update Form

A link to this form has been provided to you in an effort to obtain up to date and accurate local mailing address information for your enrollment in the Aetna Student Health Insurance Plan through RIT.

If you want a hard copy of your ID card, please email info@univhealthplans.com after updating your address.

In addition to updating your address with this form, we strongly recommend updating the address in the RIT Student Information System (SIS).


PLEASE FILL OUT THE REQUIRED FIELDS BELOW:

An asterisk * denotes a required field.

First Name: *
Last Name: *
Student ID: *